🏥 Type of facility: Hospital
📓 Facility manager: Government
🌎 District/Region: Ondo
👥 Catchment population (est.): NA

Facility Information

Number of patients to date: 325
Number of deaths to date: 23
Bed capacities: 500
Bed occupancy: 480
Case Facility Rate (CFR) to date:: 7%
Has at least one case been confirmed by culture?: Yes ☑ No ☐
Date of most recent case: 2/14/25

Facility characteristics

Clearly marked handwashing stations are available at point of entry and exit, at all latrines, in all patients’ areas, in the kitchen, the laundry area, the waste management area and the morgue with soap and safe water. Where soap and safe water are not available, an alcohol-based hand rub (ABHR) should be used. When neither is available, water treated with a 0.05% chlorine solution is used. : Yes ☑ No ☐
A staff is posted at the entry and exit to ensure washing of hands and control movement: Yes ☐ No ☑
Foot spraying or maintained footbath is available at to those entering and exiting the structure (maintained = muddy solution is replaced regularly). If installed, footbaths should use trays with cloth or sponge soaked in a 0.2% chlorine solution and changed twice per day: Yes ☐ No ☑
Floors, latrines and beds in CTC are cleaned when dirty with 0.2% chlorine solution (recommended is at least 4 times per day): Yes ☐ No ☑
Handwashing stations with soap and safe water are available in each ward. Where soap and safe water are not available, an alcohol-based hand rub (ABHR) should be used. When neither is available, water treated with a 0.05% chlorine solution can be used.: Yes ☐ No ☑
Health staff and relatives wash hands before and after each contact with the patient: Yes ☐ No ☑
Gloves are worn when IV catheter or NG tube is inserted/removed: Yes ☑ No ☐

Variable	Yes	No
A staff is posted at the entry and exit to ensure washing of hands and control movement	–
Clearly marked handwashing stations are available at point of entry and exit, at all latrines, in all patients areas, in the kitchen, the laundry area, the waste management area and the morgue with soap and safe water. Where soap and safe water are not available, an alcohol-based hand rub (ABHR) should be used. When neither is available, water treated with a 0.05% chlorine solution is used.		–
Floors, latrines and beds in CTC are cleaned when dirty with 0.2% chlorine solution (recommended is at least 4 times per day)	–
Foot spraying or maintained footbath is available at to those entering and exiting the structure (maintained = muddy solution is replaced regularly). If installed, footbaths should use trays with cloth or sponge soaked in a 0.2% chlorine solution and changed twice per day	–
Gloves are worn when IV catheter or NG tube is inserted/removed		–
Handwashing stations with soap and safe water are available in each ward. Where soap and safe water are not available, an alcohol-based hand rub (ABHR) should be used. When neither is available, water treated with a 0.05% chlorine solution can be used.	–
Health staff and relatives wash hands before and after each contact with the patient	–

A triage area is available for registration, evaluation and immediate treatment of severe cases: Fully ☑ Partially ☐ Absent ☐
The layout and access to different spaces is organized to facilitate patient flow from triage to exit that isolates infectious patients from other wards or clean areas: Fully ☐ Partially ☑ Absent ☐
The neutral area is clearly demarcated and access is restricted to staff only: Fully ☐ Partially ☑ Absent ☐

Variable	Fully	Partially
A triage area is available for registration, evaluation and immediate treatment of severe cases		–
The layout and access to different spaces is organized to facilitate patient flow from triage to exit that isolates infectious patients from other wards or clean areas	–
The neutral area is clearly demarcated and access is restricted to staff only	–

Variable	Fully	Partially	Absent
Cholera register is correctly filled in with patient name and address noted. Patient discharge should also be noted.		–	–
Patients are evaluated and their level of severity defined according to protocol	–	–
Severe cases are immediately given IV fluids and transferred to the hospitalisation area	–	–
The age range < 5 years and >5 years and sex is clearly noted	–		–

Variable	Fully	Partially	Absent
Antibiotics are used according to national protocol		–	–
Cholera beds (with a hole in the middle) are sufficiently available and use with all severe cases		–	–
Each cholera beds has two buckets available filled with around 2 cm of 2% chlorine solution for collection of stool and vomit	–	–
Each patient has not more than one family member to assist care	–	–
Each patient has ORS available and is encouraged to drink regularly		–	–
IV fluid bags are changed rapidly when empty		–	–
The patients file is correctly filled in and the admission time is registered	–		–
Treatment protocols are available and in use	–		–

Variable	<7 Days	7-14 Days	>14 Days
Azithromycin/erythromycin	–		–
Buckets		–	–
Catheter IV	–	–
Ciprofloxacin	–		–
Doxycycline/tetracycline	–		–
DPD 1 tablets for testing free residual chlorine	–		–
Gloves, approns, and other PPE	–		–
HTH or NADCC chlorine, properly stored (no direct sunlight, no humidity but ventilation)		–	–
ORS		–	–
Ringer Lactate	–		–
Soap		–	–
Supplies are MoH standard and cholera-appropriate (Main IV fluid is RL or NS, ORS is hypo-Osm, etc)		–	–

Variable	Excellent	Average
Registration of deaths and if they occur before or after the first 4 hours that follow admission		–
The data of the center are regularly transmitted to the MoH and the provincial/district level (at least weekly)		–
The number of cases received in the center are correctly totalled daily and weekly		–
The number of deaths is totalled daily and weekly	–
The number of patients admitted with none, some, severe dehydration totalled daily and weekly	–

Variable	Day	Night	Never
A staff is posted at the entry and exit to ensure washing of hands and control movement	–	–
Health staff and relatives wash hands before and after each contact with the patient	–	–
Is there a stock, supply, logistics staff present?		–	–
Is there at least one doctor present?	–		–
Is there at least one trained community health worker present		–	–
Is there at least one trained nurse present?	–		–

Weekly report

Key metrics over time

As of 2025-02-14

Variable	Number on typical day shift	Number on typical night shift	Number with cholera training	total number on rota	Total number on rota
Clinical officers	42	85	1	–	2
Doctors	57	14	21	–	45
Health Surveillance Assistants	95	54	48	42	–
Nurses / nurse-midwives	45	61	44	5	–
Nursing auxillaries / hospital attendants	38	85	21	–	95

Variable	Yes	No
Azithromycin		–
Chlorine	–
Doxycycline		–
Glucometer strips		–
Intravenous fluid (Crystalloid e.g. Ringers lactate)		–
Intravenous glucose		–
ORS	–
Stationary		–
Zinc	–

Variable	Number not working / broken	Number working
BP machine (with working cuff)	24	45
Glucometer	34	38
Pulse oximeter	11	42
Thermometer	11	43

Daily

Key metrics over time

Key metrics as of 2025-02-14

Variable	value
Number of patients admitted in the preceding 24 hours	25
Deaths in the preceding 24 hours	4
Total number of cholera (CTC/CTU) beds (physically available beds)	80
Total number of cholera patients currently admitted	12
Number of beds for treating severely unwell patients (requiring high dependency nursing or medical care)	48
Number of patients being treated for severe disease (requiring high dependency nursing or medical care)	2

Please contact A Chaillon for any questions/suggestions.

Any additional note???